CHAMP ASSISTANCE DOGS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CHAMP ASSISTANCE DOGS INC (EIN 43-1803006)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-01-11
IRS object ID: 201440139349302044
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-01-11T10:24:45-06:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BERNHARD W MARTI CPA PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	12476 DREXEL HILL DR	AddressLine1
City	DES PERES	City
State	MO	State
ZIP Code	631313648	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	431803006	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CHAMP ASSISTANCE DOGS INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHAM	NameControl
Phone	3146539466	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4910 PARKER ROAD	AddressLine1
City	FLORISSANT	City
State	MO	State
ZIP Code	630334651	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	NOLA W EWERS	Name
Title	BOARD PRESIDENT	Title
Phone	3146539466	Phone
Date Signed	2014-01-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BERNHARD W MARTI	Name
Phone	3148225779	Phone
Date Prepared	2014-01-11	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	NOLA W EWERS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	4910 PARKER ROAD	AddressLine1
City	FLORISSANT	City
State	MO	State
ZIP Code	630334651	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	252726	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CHAMPDOGS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	MO	StateLegalDomicile
Activity Or Mission Description	RAISING & TRAINING SERVICE DOGS TO ASSIST PEOPLE WITH PHYSICAL DISABILITIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	5	TotalNbrEmployees
Total Nbr Volunteers	75	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	177951	ContributionsGrantsPriorYear
Contributions Grants Current Year	232175	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	70	InvestmentIncomePriorYear
Investment Income Current Year	481	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10390	OtherRevenuePriorYear
Other Revenue Current Year	14741	OtherRevenueCurrentYear
Total Revenue Prior Year	188411	TotalRevenuePriorYear
Total Revenue Current Year	247397	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	145413	SalariesEtcPriorYear
Salaries Etc Current Year	134025	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	25925	TotalFundrsngExpCurrentYear
Other Expense Prior Year	80459	OtherExpensePriorYear
Other Expenses Current Year	77053	OtherExpensesCurrentYear
Total Expenses Prior Year	225872	TotalExpensesPriorYear
Total Expenses Current Year	211078	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-37461	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	36319	RevenuesLessExpensesCY
Total Assets BOY	178710	TotalAssetsBOY
Total Assets EOY	214967	TotalAssetsEOY
Total Liabilities BOY	62	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	178648	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	214967	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	RAISING & TRAINING SERVICE DOGS TO ASSIST PEOPLE WITH PHYSICAL DISABILITIES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	112869	Expense
Description	SERVICE DOG PROGRAM - PROMOTES HEALTHY LIVING TO THOSE WITH PHYSICAL DISABILITIES VIA THE PLACEMENT OF CUSTOM TRAINED SERVICE DOGS, INCLUDING TEACHING BASIC OBEDIENCE AND SOCIALIZATION SKILLS TO PUPPIES, TEACHING ADVANCED SKILLS TO MEET THE NEEDS OF THE DOG'S DISABLED PARTNER, AND PLACEMENT SERVICE TRAINING FOR SERVICE DOG USERS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	29732	Expense
Description	COMMUNITY EDUCATIONAL PROGRAM - PROVIDING DISABILITY AWARENESS EDUCATION THROUGH PRESENTATIONS AND DEMONSTRATIONS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	23830	Expense
Description	THERAPY DOG PROGRAM - TRAINS AND PROVIDES HUMAN-CANINE TEAMS TO COLLABERATE WITH HEALTHCARE PROFESSIONALS AT REHABILITATIONS CENTERS, HOSPITALS AND NURSING HOMES FOR THE PURPOSE OF THERAPEUTIC CHANGE.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	589	Expense
Description	RESCUE DOG PROGRAM - PARTNERSHIP WITH RESCUE/SHELTER ORGANIZATIONS FOR OFFENDER-TRAINERS IN THE PRISON PROGRAM TO TEACH RESCUE DOGS BASIC HOUSE MANNERS, TRICKS AND BASIC OBEDIENCE SKILLS, MAKING THEM MORE ATTRACTIVE FOR ADOPTION.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	589	TotalOfOtherProgramServiceExp
Total Program Service Expense	167020	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	5	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	THERESA DATTILO	NamePerson
Telephone Number	3146539466	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4910 PARKER ROAD	AddressLine1
City	FLORISSANT	City
State	MO	State
ZIP Code	63033	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
NOLA W EWERS
BOARD PRESID	10.00	X	X	0	0	0
KAREN FELTON
BOARD MEMBER	2.00	X		0	0	0
JENNIFER KUEHNLE
BOARD MEMBER	2.00	X		0	0	0
LON D LOWRY
BOARD MEMBER	2.00	X		0	0	0
ANNE PHELPS
BOARD MEMBER	2.00	X		0	0	0
DIANE BUHR
BOARD MEMBER	2.00	X		0	0	0
MARTY WALSCH
BOARD MEMBER	2.00	X		0	0	0
PAMELA BOLTON
EXECUTIVE DI	40.00		X	60039	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	60039	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	232175	AllOtherContributions
Noncash Contributions	19524	NoncashContributions
Total Contributions	232175	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	41	TotalRevenueColumn
Related Or Exempt Function Income	41	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2590	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	2150	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	440	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	440	TotalRevenueColumn
Related Or Exempt Function Income	440	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	17920	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	3179	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	14741	TotalRevenueColumn

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	247397	TotalRevenueColumn
Related Or Exempt Function Income	481	RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	124576	Total
Program Services	94764	ProgramServices
Management And General	10608	ManagementAndGeneral
Fundraising	19204	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9449	Total
Program Services	7133	ProgramServices
Management And General	803	ManagementAndGeneral
Fundraising	1513	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2800	Total
Management And General	2800	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2027	Total
Program Services	1418	ProgramServices
Management And General	182	ManagementAndGeneral
Fundraising	427	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	9824	Total
Program Services	7578	ProgramServices
Management And General	794	ManagementAndGeneral
Fundraising	1452	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1014	Total
Program Services	712	ProgramServices
Management And General	213	ManagementAndGeneral
Fundraising	89	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2732	Total
Program Services	2570	ProgramServices
Management And General	162	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4131	Total
Program Services	2831	ProgramServices
Management And General	752	ManagementAndGeneral
Fundraising	548	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
VETERINARY EXPENSE	25331	25331
PROGRAM SUPPLIES & EQUIP	10818	10818
OTHER EXPENSE	6878	5676	1156	46
PRINTING & PUBLICATIONS	4310	3062		1248

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	7188	Total
Program Services	5127	ProgramServices
Management And General	663	ManagementAndGeneral
Fundraising	1398	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	211078	Total
Program Services	167020	ProgramServices
Management And General	18133	ManagementAndGeneral
Fundraising	25925	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	55507	BOY
EOY	90610	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	69212	BOY
EOY	71842	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1374	BOY
EOY	1125	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	83040	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	31650	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	50467	BOY
EOY	51390	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	2150	BOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	178710	BOY
EOY	214967	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	62	BOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	62	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	178648	BOY
EOY	214967	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	178648	BOY
EOY	214967	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	178710	BOY
EOY	214967	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	36319	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	113884	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	165446	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	193669	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	177951	CurrentTaxYearMinus1Year
Current Tax Year	232175	CurrentTaxYear
Total	883125	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	25320	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27356	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	43528	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	15937	CurrentTaxYearMinus1Year
Current Tax Year	17961	CurrentTaxYear
Total	130102	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	139204	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	192802	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	237197	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	193888	CurrentTaxYearMinus1Year
Current Tax Year	250136	CurrentTaxYear
Total	1013227	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	6213	CurrentTaxYearMinus3Years
Current Tax Year	7250	CurrentTaxYear
Total	13463	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	20320	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	22727	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	33528	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10937	CurrentTaxYearMinus1Year
Current Tax Year	12961	CurrentTaxYear
Total	100473	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	20320	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	28940	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	33528	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10937	CurrentTaxYearMinus1Year
Current Tax Year	20211	CurrentTaxYear
Total	113936	Total

Field	Value	IRS element (for citing)
Public Support Total509	899291	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	268	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	44	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	70	CurrentTaxYearMinus1Year
Current Tax Year	481	CurrentTaxYear
Total	870	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	268	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	44	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	70	CurrentTaxYearMinus1Year
Current Tax Year	481	CurrentTaxYear
Total	870	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	139472	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	192809	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	237241	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	193958	CurrentTaxYearMinus1Year
Current Tax Year	250617	CurrentTaxYear
Total	1014097	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.88680	PublicSupportPercentage509
Prior Year Support Percentage	0.88420	PriorYearSupportPercentage
Investment Income Percentage	0.01000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13180	OtherCostOrOtherBasis
Book Value	13180	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	52718	OtherCostOrOtherBasis
Depreciation	17516	Depreciation
Book Value	35202	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17142	OtherCostOrOtherBasis
Depreciation	14134	Depreciation
Book Value	3008	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	51390	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	247397	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	247397	RevenueSubtotal
Total Revenue Per Form990	247397	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	211078	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	211078	ExpensesSubtotal
Total Expenses Per Form990	211078	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	TRIVIA NIGHT	NameOfEvent1
Gross Receipts Event1	13322	GrossReceiptsEvent1
Gross Revenue Event1	13322	GrossRevenueEvent1
Cash Prizes Event1	360	CashPrizesEvent1
Rent Facility Costs Event1	500	RentFacilityCostsEvent1
Food And Beverage Event1	405	FoodAndBeverageEvent1
Other Direct Expenses Event1	585	OtherDirectExpensesEvent1
Gross Receipts Total	13322	GrossReceiptsTotal
Gross Revenue Total Events	13322	GrossRevenueTotalEvents
Cash Prizes Total Events	360	CashPrizesTotalEvents
Rent Facility Costs Total Events	500	RentFacilityCostsTotalEvents
Food And Beverage Total Events	405	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	585	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	1850	DirectExpenseSummaryEvents
Net Income Summary	11472	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	RESCUE DOG PROGRAM - PARTNERSHIP WITH RESCUE/SHELTER ORGANIZATIONS FOR OFFENDER-TRAINERS IN THE PRISON PROGRAM TO TEACH RESCUE DOGS BASIC HOUSE MANNERS, TRICKS AND BASIC OBEDIENCE SKILLS, MAKING THEM MORE ATTRACTIVE FOR ADOPTION.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	NO REVIEW WAS OR WILL BE CONDUCTED.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	ANNUAL REVIEW AND APPROVAL BY BOARD.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	ANNUAL REVIEW AND APPROVAL BY BOARD.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC

CHAMP ASSISTANCE DOGS INC: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

Activity2 Activity2

Activity3 Activity3

Activity Other ActivityOther

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

Investment Income InvestmentIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Gain Or Loss GainOrLoss

Net Gain Or Loss Investments NetGainOrLossInvestments

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Total509 Total509

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Amts From Subst Contributors AmtsFromSubstContributors

Support From DQ Ps Etc SupportFromDQPsEtc

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Total Support Total TotalSupportTotal

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Schedule G IRS990ScheduleG

Events Information EventsInformation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Comments